What should I do if my baby is diagnosed with “hearing loss”?

It is not advisable for parents to assume that their child’s hearing is fine and not take their child for regular rechecks, or not to implement any interventions for their child even if a hearing loss has been identified. The results of two diagnostic audiograms are most likely to determine whether a baby has a hearing loss. If the diagnosis of hearing loss is confirmed, first of all, the baby’s parents and family members need to calm down and accept the fact of “hearing loss”, and then consider what should be done, instead of running around to take the child to different hospitals to conduct repeated hearing examinations, some parents spend a year to check and observe, which is not only delayed the child, but also a waste of money. Waste of money. Secondly, after learning that the baby has a “hearing impairment”, the baby’s mother and father and family members need to carry out some knowledge of audiology, you need to understand the degree, nature and location of the baby’s hearing loss; and finally, you need to understand the treatment of hearing impairment, intervention and rehabilitation training methods. Only when the baby’s mom, dad and family are able to accept the facts can they lay the foundation for early intervention and rehabilitation. Treatment and intervention for hearing impairment There are no more than medication, surgery, hearing aids and cochlear implants, etc. The main purpose is to improve the baby’s hearing and get sound amplification. Which method is more appropriate and what exactly to do needs to be chosen according to the degree and nature of hearing loss. Conductive hearing loss, belonging to the middle ear effusion, first observation to the second examination, determined that the effusion is not well absorbed or eliminated, you can consider the use of drugs to promote the absorption or elimination of the effusion, and continue to observe. During the observation period, avoid letting the baby catch a cold and avoid choking the baby. Conductive hearing loss, belonging to the outer middle ear deformity, if it is monaural, need to review the hearing every year, to ensure that the healthy ear hearing is normal, usually does not affect the child to learn to speak, to wait until the age of 10 years old, you can choose to reconstruct the outer middle ear surgery, in order to improve the child’s hearing. In case of bilateral atresia, it is recommended to wear bone conduction hearing aids BAHA within 6 months to help the baby to improve hearing and learn to speak, and the age of surgery is usually more appropriate after 5-6 years old. For sensorineural hearing loss, which is severe or very severe, it is recommended to start wearing hearing aids at the age of 3 months to develop their auditory awareness and perception. After about 1.5-2 months of training and pediatric behavioral audiometry, hearing aid commissioning is performed, and after commissioning, rehabilitation training for hearing and speech is continued. Diagnosed with moderate hearing loss, need to start wearing hearing aids at 6 months, after 1-1.5 months of training, after pediatric behavioral audiometry for hearing aid commissioning, after commissioning continue to receive training. Mild hearing loss, follow up until about 8 months, when permanent hearing loss is determined, hearing aids are recommended. Mixed hearing loss, severe or very severe combined with middle ear effusion, it is recommended to wear hearing aids within 6 months, and active treatment of middle ear effusion, regular hearing review, debugging hearing aids. For moderate hearing loss combined with middle ear effusion, if the middle ear effusion is absorbed and permanent hearing loss is determined, it is recommended to wear hearing aids within 1 year of age. For those with mixed hearing loss combined with outer middle ear deformity, hearing aids are recommended within 6 months and reconstructive surgery of the outer middle ear is performed on an elective basis. For babies wearing hearing aids, it is generally recommended to review the hearing at least every 3 months. For children with severe or profound deaf sensorineural hearing loss who have poor rehabilitation, it is recommended that they receive cochlear implant surgery around 10 months of age and continue auditory-verbal rehabilitation after surgery. For children with mild hearing loss, it is recommended that parents use speech amplification during follow-up visits to try their best to enable the child to hear speech, which can also provide some sound amplification. Children who belong to the diagnosed vestibular aqueduct enlargement syndrome should seek prompt medical attention when hearing loss is detected, and in some cases, medication can be used to help improve their hearing.